WENDY A BULOW (PA) – Physician Assistant, NPI 1376579540

WENDY A BULOW (PA) is a healthcare provider. based in Pueblo, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1675 (CO). The NPI Number for WENDY A BULOW (PA) is 1376579540

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
WENDY A BULOW (PA)
NPI
1376579540
Phone
(719) 543-8718
Address
310 COLORADO AVE
Enumeration Date
23 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7194730872
Graduation Year
2000 (26 years ago)
PAC ID
6901936616
Group Practice PAC ID
2466341177
Professional Enrollment ID
I20100607000460
Address ID
CO809076231CO2709XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

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Provider Addresses for WENDY A BULOW (PA)

  • 310, Colorado Avenue, Mesa Junction, Pueblo, Pueblo County, Colorado, 81004, United States

    PUEBLO, CO 81004

    Phone: (719) 543-8718

    Fax: (719) 543-5340

    Type: Mailing

  • 110, West Routt Avenue, Mesa Junction, Pueblo, Pueblo County, Colorado, 81004, United States

    PUEBLO, CO 81004

    Phone: (719) 543-8711

    Fax: (719) 543-5340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 159 Open Payments records for all available years, with a total value of $3,776.

Total Amount is formed as General ($3,776) + Research ($0) + Ownership ($0) = $3,776.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($996).

Total Amount

$3,776

General + Research + Ownership

Payments

159

Total payment records

General Amount

$3,776

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100607000460IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2422$0
94375Test to measure rate of airflow1614$0
View full utilization report →

Insurance plans in this area (ZIP 81004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466341177View full group profile
NameSpecialtyState
Physician AssistantNJ
Nurse PractitionerCO
Nurse PractitionerCO
Allergy/Immunology, Pediatric MedicineHI
A L L E R G Y/ I M M U N O L O G YNC
Nurse PractitionerCO
A L L E R G Y/ I M M U N O L O G YCO
Physician AssistantSD
Physician AssistantCO
A L L E R G Y/ I M M U N O L O G YCO

Reviews

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Frequently asked questions

What NPI should I save for WENDY A BULOW (PA)?
Save NPI 1376579540 if you need a stable reference for WENDY A BULOW (PA).
Is WENDY A BULOW (PA) active in the national directory?
WENDY A BULOW (PA)'s public NPI profile is in an active state.
Does WENDY A BULOW (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for WENDY A BULOW (PA). Clinical services aligned with this taxonomy classification.
Where does public data place WENDY A BULOW (PA)?
The snapshot lists Pueblo, Colorado for WENDY A BULOW (PA); download NPPES for the complete set.
What if Pueblo, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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